NPI registry status
Active
2026 NPPES data Acute Care Nurse Practitioner NPI 1225604093 AGACNP
Verify on CMS → Kelly Sisson, AGACNP
Acute Care Nurse Practitioner in Lawrenceville, Georgia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 24,697 in Acute Care Nurse Practitioner, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
350
Medicare Part D claims · 67 beneficiaries · Acute Care Nurse Practitioner avg: 576
Generic prescribing
76%
generic claims · 24% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
68.6/100
▼ 15 pts below national avg 83.1 · Mid-tier
Industry payments
$421.28
4 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Kelly Sisson, AGACNP reported a CMS MIPS final score of 68.6/100 - below the 83.1 national average - and filed 350 Medicare Part D claims in 2023.
- 68.6/100
- MIPS score · -15 vs avg
- 350
- Part D claims, 2023
- 76%
- generic prescribing
- $421.28
- industry payments (Sunshine Act)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Kelly Sisson, AGACNP's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
69 7th percentile higher than 7% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Kelly Sisson, AGACNP sits
This provider among acute care nurse practitioner peers
Across the 3,864 acute care nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Kelly Sisson, AGACNP writes more Part D claims than 67% of them and scores higher on MIPS quality than 3% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one acute care nurse practitioner peer from a representative sample of 60; the gold marker is Kelly Sisson, AGACNP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Kelly Sisson, AGACNP?
Below national averagePrimary specialty
Acute Care Nurse Practitioner
Medicare Part D claims
350 39% vs specialty avg
MIPS final score
68.6/100 14.5 pts vs avg
Specialty distribution in Georgia
How Acute Care Nurse Practitioner compares to other specialties among Georgia providers
Medicare quality performance, MIPS
Kelly Sisson, AGACNP's 2023 MIPS final score plotted against the Acute Care Nurse Practitioner national average
- MIPS Final Score
- 68.6/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Acute Care Nurse Practitioner) - 68.6/100 vs national avg 83.1
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Kelly Sisson, AGACNP appears in the CMS NPPES registry as an Acute Care Nurse Practitioner provider holding AGACNP credentials at 575 PROFESSIONAL DR STE 400, Lawrenceville, GA, 30046, with a listed phone of (404) 962-6000. NPI 1225604093 was issued on 06/02/2021.
Medicare Part D records for calendar year 2023 show 350 prescription claims written by this provider, covering 67 Medicare beneficiaries and totaling roughly $58K in drug spend, split 24% brand-name and 76% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 68.6/100 for the 2023 performance year (Quality 63.2, Cost 52), compared with the national average of 83.1.
Acute Care Nurse Practitioner is a mid-sized specialty nationwide, with 24,697 enrolled providers across 53 states and an average of 576 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1225604093 |
|---|---|
| Specialty | Acute Care Nurse Practitioner |
| Credentials | AGACNP |
| Gender | Female |
| NPI Issued | 06/02/2021 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
68.5568
Final Score
Avg: 83.1
63.1547
Quality
52.0348
Cost
76
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Kelly Sisson, AGACNP bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Northside Cardiovascular Professional Services, LLC
Jonesboro, GA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Kelly Sisson, AGACNP. Source: openpaymentsdata.cms.gov.
Total received
$421
Largest payer
Abbott Laboratories
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Brand vs generic prescribing mix · Typical
Kelly Sisson, AGACNP - brand share 24.0%
Acute Care Nurse Practitioner average
24% brand-name claims vs 76% generic, on 350 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
350
Total Claims
$58K
Total Drug Cost
67
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 477
- Total Day Supply
- 13,861
- Brand vs Generic
- 24% brand / 76% generic
- Brand Drug Cost
- $53K
- Generic Drug Cost
- $5K
Patient Demographics
- Average Patient Age
- 75.6 years
- Avg HCC Risk Score
- 2.10
- Gender Split
- 40% female / 60% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Kelly Sisson, AGACNP prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
54 claims
- Eliquis
Eliquis
44 claims
- Prasugrel Hcl
Prasugrel Hcl
27 claims
- Carvedilol
Carvedilol
24 claims
- Spironolactone 21
Spironolactone
21 claims
- Brilinta 12
Brilinta
12 claims
- Metoprolol Tartrate 12
Metoprolol Tartrate
12 claims
- Clopidogrel 11
Clopidogrel
11 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 54 |
| Eliquis Apixaban | 44 |
| Prasugrel Hcl | 27 |
| Carvedilol | 24 |
| Spironolactone | 21 |
| Brilinta Ticagrelor | 12 |
| Metoprolol Tartrate | 12 |
| Clopidogrel Clopidogrel Bisulfate | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Acute Care Nurse Practitioner Overview
How Kelly Sisson, AGACNP fits within the Acute Care Nurse Practitioner landscape nationally.
24,697
Acute Care Nurse Practitioner Providers in US
53
States with Acute Care Nurse Practitioner
576
Avg Claims per Provider
Kelly Sisson, AGACNP's 350 claims are below the specialty average of 576.
Nearby Acute Care Nurse Practitioner Providers in Georgia
Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as Sisson.
Dr. Kimmie Aaron
NP
Cartersville, GA
Lidia Acosta Organista
Atlanta, GA
Dr. Sandra Adams
NP
Lagrange, GA
Dr. Joanna Addison
AGACNP-BC
Gainesville, GA
Dr. Bradee Aderholt
AGACNP
Gainesville, GA
Compare Acute Care Nurse Practitioner nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Georgia medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Acute Care Nurse Practitioner peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Kelly Sisson, AGACNP's specialty? ▼
Kelly Sisson, AGACNP specializes in Acute Care Nurse Practitioner and practices in Lawrenceville, Georgia. Credentials: AGACNP.
How much does Kelly Sisson, AGACNP prescribe under Medicare Part D? ▼
In 2023, Kelly Sisson, AGACNP wrote 350 Medicare Part D claims totaling $58K in drug costs for 67 beneficiaries.
What is Kelly Sisson, AGACNP's Medicare quality score? ▼
Kelly Sisson, AGACNP has a CMS MIPS Final Score of 68.6/100 (Quality: 63.2, Cost: 52). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Kelly Sisson, AGACNP located? ▼
Kelly Sisson, AGACNP is located at 575 PROFESSIONAL DR STE 400, Lawrenceville, GA, 30046. Phone: (404) 962-6000.
What is Kelly Sisson, AGACNP's NPI number? ▼
Kelly Sisson, AGACNP's National Provider Identifier (NPI) is 1225604093, issued on 06/02/2021.
Does Kelly Sisson, AGACNP prescribe more brand-name or generic drugs? ▼
Kelly Sisson, AGACNP's prescribing is 24% brand-name and 76% generic drugs by claim count, with $53K in brand drug costs.
How many Acute Care Nurse Practitioner providers are there in the US? ▼
There are 24,697 Acute Care Nurse Practitioner providers across 53 states in the US. The average Acute Care Nurse Practitioner provider writes 576 Medicare Part D claims per year.
What drugs does Kelly Sisson, AGACNP prescribe most often? ▼
Based on 2023 Medicare Part D data, Kelly Sisson, AGACNP's most frequently prescribed drugs include Atorvastatin Calcium, Eliquis, Prasugrel Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Kelly Sisson, AGACNP accept Medicare? ▼
Kelly Sisson, AGACNP appears in CMS Medicare data with 350 Part D claims and 67 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Kelly Sisson, AGACNP's credentials? ▼
Kelly Sisson, AGACNP's NPI is 1225604093 with credentials AGACNP. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.